Every year, more Americans are diagnosed with osteoporosis, a disease that causes bones to weaken and become more likely to break.
You may not know that you have this “silent” disease until your bones are so weak that a sudden strain, bump or fall causes your wrist to break or your hip to fracture.
Medicare can help prevent or detect osteoporosis at an early stage, when treatment works best.
Talk to your doctor about getting a bone mass measurement. If you’re at risk, Medicare Part B covers this test once every 24 months (more often if medically necessary) when your doctor or other qualified provider orders it.
A bone mass measurement test, also called a bone mineral density test, helps to see whether you have osteoporosis or should be concerned about your bones.
A BMD test uses a special machine to measure the amount of bone mineral you have in a certain area of bone. The testing can be done on different bones, including hip, spine, forearm (between the wrist and elbow), wrist, finger or heel.
BMD tests are safe and painless, and provide important information about your bone health, which healthcare providers use to make recommendations to help you protect your bones.
If you are diagnosed with osteoporosis, your healthcare provider may order laboratory and other tests, which can help them find out if you have another medical condition causing bone loss.
Who’s eligible for the bone test? All qualified people with Part B who are at risk for osteoporosis and meet one or more of these conditions: a woman whose doctor determines that she is both estrogen deficient and at risk for osteoporosis; a person whose Xrays show possible osteoporosis, osteopenia or vertebral fractures; someone taking prednisone or steroid-type drugs or is planning to begin this treatment; people who have been diagnosed with primary hyperparathyroidism; and someone who is being monitored to see if their osteoporosis drug therapy is working.
You pay nothing for a bone density test if your doctor or other qualified healthcare provider accepts Medicare payment rates for their services and agrees not to bill you for anything other than the Medicare deductible or coinsurance.
Osteoporosis and the broken bones it can cause are not part of normal aging. And there’s a lot you can do to protect your bones throughout your life.
You’re never too young or too old to improve the health of your bones. Osteoporosis prevention should begin in childhood, but it shouldn’t stop there. Whatever your age, the habits you adopt now can affect your bone health for the rest of your life.
The following actions can help you protect your bones:
Get enough calcium and vitamin D and eat a well-balanced diet.
Engage in regular exercise.
Eat foods that are good for bone health, such as fruits and vegetables.
Avoid smoking and limit alcohol to two to three drinks per day.
Medicare defines medically necessary services and supplies as those needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medical care.
Your doctor or other healthcare provider may recommend you get services more often than Medicare covers. Or they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs.
Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them. For Medicare questions, call (800) MEDICARE (633-4227).
Dill is Medicare’s regional administrator for Arizona, California, Hawaii, Nevada and the Pacific Territories.